| Cth Physicians Clinic | |
|
1600 Medical Pkwy Carson City NV 89703-4625 | |
| (775) 445-7170 | |
| Not Available |
| Full Name | Cth Physicians Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 Medical Pkwy, Carson City, Nevada |
| Authorized Official Name and Position | Katie Kucera (VP CFO) |
| Authorized Official Contact | 7754455543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cth Physicians Clinic Po Box 516598 Los Angeles CA 90051-0598 | Cth Physicians Clinic 1600 Medical Pkwy Carson City NV 89703-4625 Ph: (775) 445-7170 |
| NPI Number | 1306533732 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 09/10/2026 |
| Certification Date | 09/10/2026 |
| Medicare PECOS PAC ID | 1254787203 |
|---|---|
| Medicare Enrollment ID | O20231026002527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306533732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Secondary |
| Provider Name | Jennifer a Mccord |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396737839 PECOS PAC ID: 2264429240 Enrollment ID: I20040430000018 |
| Provider Name | Daniel R Caruso |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558378778 PECOS PAC ID: 8628059193 Enrollment ID: I20040528001242 |
| Provider Name | John P Kelly |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477512234 PECOS PAC ID: 4183609019 Enrollment ID: I20040625000087 |
| Provider Name | Todd P Chapman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326011685 PECOS PAC ID: 6002711512 Enrollment ID: I20040928000240 |
| Provider Name | Lisa N Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912970286 PECOS PAC ID: 8022087980 Enrollment ID: I20040928000295 |
| Provider Name | Kent W Gabriel |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1205862182 PECOS PAC ID: 8325016850 Enrollment ID: I20050209000064 |
| Provider Name | Christopher J Dipaolo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134111891 PECOS PAC ID: 6305892159 Enrollment ID: I20050324000998 |
| Provider Name | Tomas Hinojosa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497719405 PECOS PAC ID: 7719872233 Enrollment ID: I20050607000433 |
| Provider Name | James M Nachiondo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407832231 PECOS PAC ID: 9133157332 Enrollment ID: I20050729000156 |
| Provider Name | Jeffrey D Upton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790744209 PECOS PAC ID: 7416973516 Enrollment ID: I20051019000003 |
| Provider Name | Phil M Aldrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275645426 PECOS PAC ID: 0941229736 Enrollment ID: I20051122000560 |
| Provider Name | Basil E Chryssos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851383517 PECOS PAC ID: 7012810781 Enrollment ID: I20051122000576 |
| Provider Name | David M Baker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063464279 PECOS PAC ID: 0749204246 Enrollment ID: I20060124000351 |
| Provider Name | Kimberly D Nischik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184754012 PECOS PAC ID: 1557467305 Enrollment ID: I20070510000592 |
| Provider Name | Paul D Manoukian |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083673909 PECOS PAC ID: 7911891593 Enrollment ID: I20070907000188 |
| Provider Name | Kraig a Knoll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225028277 PECOS PAC ID: 0648165886 Enrollment ID: I20080211000039 |
| Provider Name | David a Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568596229 PECOS PAC ID: 8527147917 Enrollment ID: I20080904000374 |
| Provider Name | Susan L Oleary |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760697940 PECOS PAC ID: 9436227261 Enrollment ID: I20081007000633 |
| Provider Name | Uzma Zafar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770556185 PECOS PAC ID: 3274547153 Enrollment ID: I20090721000231 |
| Provider Name | Carmella a Downing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861647844 PECOS PAC ID: 3870628746 Enrollment ID: I20100317000358 |
| Provider Name | Dina K Tack |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730402025 PECOS PAC ID: 4688703564 Enrollment ID: I20100602000811 |
| Provider Name | Michael R Solinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518944305 PECOS PAC ID: 9537241534 Enrollment ID: I20100621000182 |
| Provider Name | John H Mcafee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366429136 PECOS PAC ID: 4880591320 Enrollment ID: I20100621000874 |
| Provider Name | Ryan Ley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073637203 PECOS PAC ID: 6002005857 Enrollment ID: I20110110000064 |
| Provider Name | Randall G Nixon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346379187 PECOS PAC ID: 7214012509 Enrollment ID: I20110119000955 |
| Provider Name | Dylan Joseph Linnell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336445048 PECOS PAC ID: 5092999250 Enrollment ID: I20110412000941 |
| Provider Name | Nathan Hung Ho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841220845 PECOS PAC ID: 5698878676 Enrollment ID: I20110829000040 |
| Provider Name | Jean Gebhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225398688 PECOS PAC ID: 2062676141 Enrollment ID: I20120621000439 |
| Provider Name | Susan L Knowles |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750583092 PECOS PAC ID: 4183778152 Enrollment ID: I20120727000603 |
| Provider Name | Brianne M Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578804035 PECOS PAC ID: 0547406019 Enrollment ID: I20130429000675 |
| Provider Name | Kane M Deem |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629058805 PECOS PAC ID: 7315047891 Enrollment ID: I20130502000413 |
| Provider Name | Sonia N Rupp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548486699 PECOS PAC ID: 3870675598 Enrollment ID: I20131025000603 |
| Provider Name | Whitney Rae May |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467709394 PECOS PAC ID: 6002044765 Enrollment ID: I20140102001302 |
| Provider Name | Tatsiana Furman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427459809 PECOS PAC ID: 4284855255 Enrollment ID: I20141016002610 |
| Provider Name | Elizabeth Haase |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881755627 PECOS PAC ID: 8325935794 Enrollment ID: I20160115001681 |
| Provider Name | Sara Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295190304 PECOS PAC ID: 1850699018 Enrollment ID: I20160421000566 |
| Provider Name | Lorraine Munson Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912352154 PECOS PAC ID: 6305133752 Enrollment ID: I20160928001794 |
| Provider Name | Mary M Lushina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376097295 PECOS PAC ID: 5799072997 Enrollment ID: I20160930001212 |
| Provider Name | Andrea Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447640578 PECOS PAC ID: 1355645094 Enrollment ID: I20170105000960 |
| Provider Name | Jennifer Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568908879 PECOS PAC ID: 3274819115 Enrollment ID: I20170407001821 |
| Provider Name | Laurie a Bolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881606713 PECOS PAC ID: 6204831522 Enrollment ID: I20170512000457 |
| Provider Name | Nael Aboul-hosn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164715272 PECOS PAC ID: 3971873365 Enrollment ID: I20170718000906 |
| Provider Name | Kaeai S Edgerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124547666 PECOS PAC ID: 9830455286 Enrollment ID: I20171117001364 |
| Provider Name | Alyssa a Dedominicis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750895322 PECOS PAC ID: 2365702826 Enrollment ID: I20180201002948 |
| Provider Name | Christopher R Vlasek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518351089 PECOS PAC ID: 4385951912 Enrollment ID: I20180918002465 |
| Provider Name | Honeylette Mojica Brotonel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154705101 PECOS PAC ID: 9234483660 Enrollment ID: I20181121000335 |
| Provider Name | Danielle L Dullinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053542837 PECOS PAC ID: 2466598073 Enrollment ID: I20190115003064 |
| Provider Name | Eng Keong Tan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811339013 PECOS PAC ID: 8325274806 Enrollment ID: I20190117003993 |
| Provider Name | Alban De Schutter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134434988 PECOS PAC ID: 2163713769 Enrollment ID: I20190311000657 |
| Provider Name | Tyler Alan Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467800243 PECOS PAC ID: 9638464597 Enrollment ID: I20190603002037 |
| Provider Name | Sherry L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497857932 PECOS PAC ID: 1355370024 Enrollment ID: I20190612000541 |
| Provider Name | Madison M Gurries |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487215232 PECOS PAC ID: 5799011748 Enrollment ID: I20190729001802 |
| Provider Name | Burton Jared Tabaac |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295154219 PECOS PAC ID: 4082831367 Enrollment ID: I20190730004728 |
| Provider Name | Allison Cotton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154737310 PECOS PAC ID: 5698091692 Enrollment ID: I20191014000520 |
| Provider Name | Matthew William Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003266032 PECOS PAC ID: 7416240577 Enrollment ID: I20191024002356 |
| Provider Name | Majd Ibrahim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700199627 PECOS PAC ID: 9133440464 Enrollment ID: I20191203001532 |
| Provider Name | Lorrel Elizabeth Brown Toft |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376749754 PECOS PAC ID: 6901074962 Enrollment ID: I20200221000388 |
| Provider Name | Mckenzie Rose Comba |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548810575 PECOS PAC ID: 3173951381 Enrollment ID: I20200323002347 |
| Provider Name | Olivia G Franke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881097988 PECOS PAC ID: 1557583309 Enrollment ID: I20200416002388 |
| Provider Name | Amy N Stratton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730315433 PECOS PAC ID: 7012155336 Enrollment ID: I20200902003085 |
| Provider Name | Ross M Jenson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1093190415 PECOS PAC ID: 3971843848 Enrollment ID: I20200918000637 |
| Provider Name | Shannon Weaver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457903791 PECOS PAC ID: 8729498811 Enrollment ID: I20201030000840 |
| Provider Name | Kylie M Vizzusi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528615457 PECOS PAC ID: 3678984127 Enrollment ID: I20201204001277 |
| Provider Name | Cathy Petti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134219751 PECOS PAC ID: 4183687114 Enrollment ID: I20201208002015 |
| Provider Name | Matthew Dominic Mingrone |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912029919 PECOS PAC ID: 3779506357 Enrollment ID: I20210311002590 |
| Provider Name | Jeffrey Turner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942543004 PECOS PAC ID: 7416186150 Enrollment ID: I20210715002246 |
| Provider Name | Kimberlina Tiffiny Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699348292 PECOS PAC ID: 2466856778 Enrollment ID: I20210809003662 |
| Provider Name | Gladys Pascual Dolor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285207043 PECOS PAC ID: 4587061924 Enrollment ID: I20210928000079 |
| Provider Name | Alana Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619642626 PECOS PAC ID: 7416346341 Enrollment ID: I20211116000900 |
| Provider Name | Elena L Crandell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487329421 PECOS PAC ID: 1355731860 Enrollment ID: I20211123002772 |
| Provider Name | Mandy Carol Coulsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821769993 PECOS PAC ID: 2264822436 Enrollment ID: I20211201002415 |
| Provider Name | Alexandria Deann Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588323901 PECOS PAC ID: 7113318403 Enrollment ID: I20211221001366 |
| Provider Name | Jessica Lyn Janas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356003214 PECOS PAC ID: 2264823582 Enrollment ID: I20211221002588 |
| Provider Name | Marjeana Hope Lampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134887813 PECOS PAC ID: 4789078486 Enrollment ID: I20220223000519 |
| Provider Name | Kimberly a Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245837095 PECOS PAC ID: 7618381013 Enrollment ID: I20220405000239 |
| Provider Name | Swetha Sirisinahal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366975799 PECOS PAC ID: 9931432564 Enrollment ID: I20220608002295 |
| Provider Name | Yee Liong Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699296392 PECOS PAC ID: 7911271614 Enrollment ID: I20220901000633 |
| Provider Name | Duane Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164612560 PECOS PAC ID: 9436387602 Enrollment ID: I20221114001954 |
| Provider Name | Michael Coudriet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598359960 PECOS PAC ID: 0244649804 Enrollment ID: I20221118000110 |
| Provider Name | Whitney Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447743844 PECOS PAC ID: 3971972316 Enrollment ID: I20221207001963 |
| Provider Name | Margaret Denny Patterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508431933 PECOS PAC ID: 6406228600 Enrollment ID: I20230216002601 |
| Provider Name | Duncan Langguth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972201101 PECOS PAC ID: 0446615744 Enrollment ID: I20230419002854 |
| Provider Name | Matthew Schreiner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851787014 PECOS PAC ID: 7719291558 Enrollment ID: I20230816000461 |
| Provider Name | Neetharika Thottempudi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003313511 PECOS PAC ID: 5597012062 Enrollment ID: I20230829003225 |
| Provider Name | Mithun Gopal Devraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396127205 PECOS PAC ID: 2264895812 Enrollment ID: I20230829003741 |
| Provider Name | Anjani Pillarisetty |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770999799 PECOS PAC ID: 4284966417 Enrollment ID: I20230905002349 |
| Provider Name | Ragneel Reddy Bijjula |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366730491 PECOS PAC ID: 6901053891 Enrollment ID: I20230906003580 |
| Provider Name | Lahdan Refahiyat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801246731 PECOS PAC ID: 0648564583 Enrollment ID: I20230907004045 |
| Provider Name | Chase Tatro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205388642 PECOS PAC ID: 7012371909 Enrollment ID: I20230911003198 |
| Provider Name | Varun Kohli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255861977 PECOS PAC ID: 1355705807 Enrollment ID: I20230915002948 |
| Provider Name | Ryan Osterberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447939624 PECOS PAC ID: 5294180097 Enrollment ID: I20231014000235 |
| Provider Name | Saadia F Akhtar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659009504 PECOS PAC ID: 4789031071 Enrollment ID: I20231108000662 |
| Provider Name | Lisa Marie Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629759980 PECOS PAC ID: 9830548098 Enrollment ID: I20240131001902 |
| Provider Name | Faisal Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083903678 PECOS PAC ID: 4082834791 Enrollment ID: I20240308002958 |
| Provider Name | Kelli Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518637321 PECOS PAC ID: 2163812645 Enrollment ID: I20240321003795 |
| Provider Name | Mohamed Sharif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629464243 PECOS PAC ID: 2961708029 Enrollment ID: I20240328004069 |
| Provider Name | Olivia Wheatley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154082121 PECOS PAC ID: 5698114320 Enrollment ID: I20240415002328 |
| Provider Name | Sara Nicole Torgerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962182386 PECOS PAC ID: 9335589282 Enrollment ID: I20240425003698 |
| Provider Name | Yala Kirthi Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952835233 PECOS PAC ID: 0648610766 Enrollment ID: I20240506003244 |
| Provider Name | Lindsey C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699418889 PECOS PAC ID: 8426499591 Enrollment ID: I20240507004634 |
| Provider Name | Srinivas Dannaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003120437 PECOS PAC ID: 5698908564 Enrollment ID: I20240513001498 |
| Provider Name | Amy Schuett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992717664 PECOS PAC ID: 0345244760 Enrollment ID: I20240513001813 |
| Provider Name | Johnny Lee Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144310509 PECOS PAC ID: 9335277631 Enrollment ID: I20240530001202 |
| Provider Name | Jessica Ivanka Treidl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275920373 PECOS PAC ID: 7810290830 Enrollment ID: I20240808001503 |
| Provider Name | Joi Hester |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659805133 PECOS PAC ID: 7416344296 Enrollment ID: I20240909002043 |
| Provider Name | Jessica Gabrielian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295362374 PECOS PAC ID: 1951834175 Enrollment ID: I20241027000016 |
| Provider Name | Nicole Lanting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588492532 PECOS PAC ID: 8527592179 Enrollment ID: I20241105003641 |
| Provider Name | Ryan Powers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104206309 PECOS PAC ID: 0547565830 Enrollment ID: I20241209002933 |
| Provider Name | Aaron J Burrows |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366491367 PECOS PAC ID: 4789690223 Enrollment ID: I20241220003510 |
| Provider Name | Jenna Marie Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144043910 PECOS PAC ID: 8426586314 Enrollment ID: I20250106001604 |
| Provider Name | Benjamin Teitelbaum |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457364333 PECOS PAC ID: 8123017936 Enrollment ID: I20250107004087 |
| Provider Name | Philip Frank Ferrara |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205669264 PECOS PAC ID: 5496283921 Enrollment ID: I20250113001053 |
| Provider Name | Rhonda Sims |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043477649 PECOS PAC ID: 1658425301 Enrollment ID: I20250313002879 |
| Provider Name | Ali Madani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952374464 PECOS PAC ID: 5496640633 Enrollment ID: I20250319000509 |
| Provider Name | Carrie Ann Barrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255142287 PECOS PAC ID: 1951825728 Enrollment ID: I20250414002443 |
| Provider Name | Lana Hofeldt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295933455 PECOS PAC ID: 1557452042 Enrollment ID: I20250414002841 |
| Provider Name | Matthew Hofeldt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730236217 PECOS PAC ID: 8921195488 Enrollment ID: I20250430002136 |
| Provider Name | Kassidy Garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215765789 PECOS PAC ID: 9638696669 Enrollment ID: I20250502003026 |
| Provider Name | Andrew Stevens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851624860 PECOS PAC ID: 9032398854 Enrollment ID: I20250620001395 |
| Provider Name | Shravan Challapalli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841941796 PECOS PAC ID: 6507378676 Enrollment ID: I20250624003317 |
| Provider Name | Alexandra D Kurek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184364788 PECOS PAC ID: 8325414527 Enrollment ID: I20250721002677 |
| Provider Name | Tarra Becher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154940641 PECOS PAC ID: 1658814843 Enrollment ID: I20250724002360 |
| Provider Name | Daphne Antillon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831620269 PECOS PAC ID: 7315218815 Enrollment ID: I20250821001400 |
| Provider Name | Lisa Michelle Abitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245892975 PECOS PAC ID: 4587167903 Enrollment ID: I20250911003696 |
| Provider Name | Jay Takata |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083801518 PECOS PAC ID: 6507750924 Enrollment ID: I20250924000782 |
| Provider Name | Kathryn Saunders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689966087 PECOS PAC ID: 4385916535 Enrollment ID: I20251001004548 |
| Provider Name | Erolinda Pacheco Duarte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619507290 PECOS PAC ID: 2163929613 Enrollment ID: I20251009002314 |
| Provider Name | Jether Christian Farino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811130917 PECOS PAC ID: 1951699305 Enrollment ID: I20251209001978 |
| Provider Name | Kristen L Wahlen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790244606 PECOS PAC ID: 0244566610 Enrollment ID: I20260521003886 |
| Provider Name | Sarah Lim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528552478 PECOS PAC ID: 2567842362 Enrollment ID: I20260527001840 |
Carson Tahoe Physician Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Market Street, Carson City, NV 89706 Phone: 775-445-7220 Fax: 775-888-3236 |
Aspen Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2874 N Carson St Ste 127, Carson City, NV 89706 Phone: 775-882-1300 Fax: 775-882-1332 |
Carson Tahoe Physician Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2874 N Carson Street, Suite 200, Carson City, NV 89706 Phone: 775-883-9003 Fax: 775-883-0959 |
Usacs Long Term Care Services Osmundson PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2898 Us Highway 50 E, Carson City, NV 89701 Phone: 330-493-4443 |
Birch Medical and Skin Care PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4095 N Carson St, Carson City, NV 89706 Phone: 775-883-3953 |
Pinnacle Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E Winnie Ln, Carson City, NV 89706 Phone: 775-204-4000 |